Aspirate pleura without imaging 32554 at Mercy Medical Center Merced
333 Mercy Ave., Merced, CA · CommonSpirit Health · · NPI 1518018191
$1,188.62
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,308.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$85.02 with Health Plan of San Joaquin vs $9,131.00 with Health Net — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Health Plan of San Joaquin | Medicaid|> 21 | $85.02 | ↓ -93% |
| Kaiser | Medicaid|> 21 | $85.02 | ↓ -93% |
| Partnership Health Plan | Medicaid|< 21 | $85.02 | ↓ -93% |
| Molina | Medicaid|> 21 | $85.02 | ↓ -93% |
| California Health & Wellness | Medicaid|> 21 | $85.02 | ↓ -93% |
| Inland Empire Health Plan | Medicaid|> 21 | $85.02 | ↓ -93% |
| California Health & Wellness | Medicaid|< 21 | $85.02 | ↓ -93% |
| Kern Health System | Medicaid|> 21 | $85.02 | ↓ -93% |
| Kern Health System | Medicaid|< 21 | $85.02 | ↓ -93% |
| Inland Empire Health Plan | Medicaid|< 21 | $85.02 | ↓ -93% |
| Partnership Health Plan | Medicaid|> 21 | $85.02 | ↓ -93% |
| Kaiser | Medicaid|< 21 | $85.02 | ↓ -93% |
| Health Plan of San Joaquin | Medicaid|< 21 | $85.02 | ↓ -93% |
| Molina | Medicaid|< 21 | $85.02 | ↓ -93% |
| BCBS - Anthem | Medicaid|< 21 | $85.20 | ↓ -93% |
| BCBS - Anthem | Medicaid|> 21 | $85.20 | ↓ -93% |
| Central California Alliance for Health | Medicaid|All Plans | $93.43 | ↓ -92% |
| Health Net | Medicaid|All Plans | $201.81 | ↓ -83% |
| Western Growers | Commercial|All Plans | $496.50 | ↓ -58% |
| Healthsmart | Commercial|All Plans | $635.52 | ↓ -47% |
| Cigna | Commercial|All Other Plans | $645.45 | ↓ -46% |
| Cigna | Commercial|PPO | $645.45 | ↓ -46% |
| Kaiser | Commercial|All Plans | $685.17 | ↓ -42% |
| Humana | Medicare|All Plans | $785.56 | ↓ -34% |
| Aetna | Medicare|All Plans | $785.56 | ↓ -34% |
| United | Medicare|All Plans | $785.56 | ↓ -34% |
| Health Net | Medicare|All Plans | $785.56 | ↓ -34% |
| Kaiser | Medicare|All Plans | $785.56 | ↓ -34% |
| BCBS - Anthem | Medicare|All Plans | $785.56 | ↓ -34% |
| Blue Shield CA | Medicare|All Plans | $785.56 | ↓ -34% |
| Scan Health Plan | Medicare|All Plans | $785.56 | ↓ -34% |
| LA Care | Medicare|All Plans | $785.56 | ↓ -34% |
| First Health | Commercial|All Plans | $794.40 | ↓ -33% |
| Allcare | Commercial|All Plans | $828.43 | ↓ -30% |
| MultiPlan | Commercial|All Plans | $933.42 | ↓ -21% |
| United | Commercial|HMO | $983.07 | ↓ -17% |
| United | Commercial|All Other Plans | $993.00 | ↓ -16% |
| United | Commercial|Non-Options PPO | $993.00 | ↓ -16% |
| United | Commercial|Options PPO | $993.00 | ↓ -16% |
| BCBS - Anthem | Commercial|Exchange | $4,116.00 | ↑ +246% |
| Aetna | Commercial|PPO | $5,322.00 | ↑ +348% |
| Aetna | Commercial|All Other Plans | $5,322.00 | ↑ +348% |
| Aetna | Commercial|HMO | $5,322.00 | ↑ +348% |
| BCBS - Anthem | Commercial|All Other Plans | $5,416.00 | ↑ +356% |
| Health Net | Commercial|Care Product | $8,022.00 | ↑ +575% |
| BCBS - Anthem | Commercial|MCS | $8,557.00 | ↑ +620% |
| Health Net | Commercial|FFS | $9,131.00 | ↑ +668% |
Visitor-reported prices
Comments
Aspirate pleura without imaging 32554 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $580.35 | $104.57 – $1,452.04 |
| Petaluma Valley Hospital | Petaluma | $976.14 | $845.36 – $2,695.00 |
| Mark Twain Medical Center | San Andreas | $2,108.56 | $63.13 – $239.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $619.20 | $85.02 – $1,335.20 |
| Bakersfield Memorial Hospital | Bakersfield | $612.53 | $85.02 – $1,318.51 |
| Queen of The Valley Medical Center | Napa | $4,047.87 | $890.68 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,978.73 | $806.82 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $2,204.22 | $845.19 – $3,982.87 |